1. Please fill out this form in its entirety, including all date and monetary figures. Electronic signature is required at the bottom of form.
2. This form must be completed at least 3 weeks PRIOR to your visit.
3. You must submit one final invoice from a recognized transportation/bus company or provider within 60 days of your visit to qualify for transportation assistance. We will reimburse your costs according to the awarded amount.
4. Applications are processed in the order of receipt. You will be notified of your award within two weeks of submitting this application.